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19 Cards in this Set
- Front
- Back
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where are >95% of EUG localised?
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tuba
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what are the principal localisations of EUG?
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tubal 95%
ovarian intraabdominal uterine |
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what are the two clinical manifestations of EUG?
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tubal abortion in ampullary and infundibular
and tubal rupture in isthmic and interstitial EUG |
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what is the major maternal factor predisposing to EUG?
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tubal injury, either postinflammatory or due to scarring
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what are causes for postinflammatory tubal injuries?
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s/p chlamydial infection
s/p gonorrhoeal infection |
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what are causes for fibrotic tubal injuries?
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s/p tubal surgery
or s/p medicamentous therapy of EUG with methotrexate |
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what is the most common localisation of EUG?
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ampullary in 70%
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what are risk factors for EUG?
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hormonal dysbalance
smoking endometriosis s/p treatment of sterility age > 35 |
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when does EUG typically die?
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6th to 10th week
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what are the symptoms of tubal abortion?
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colicky pain until expulsion most commonly into abdominal cavity then free of symptoms until irritation of peritoneum with peritonitis
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what are the symptoms of tubal rupture?
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acute abdomen with fulminant often hemorrhagic shock
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what is the critical level of beta-HCG in diagnosis of EUG?
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1500-2000 U/l without positive sonography in cavum uteri
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what is the standard for diagnosis of EUG?
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diagnostic laparascopy
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what are the treatment option in EUG?
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Methotrexate
or surgery |
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what are the two principal surgical option for tubal EUG?
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salpingectomy
or salpingotomy |
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what is a risk of salpingotomy?
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persistence of trophoblast in 10%
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what is obligate in follow-up of treated EUG?
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check levels of beta-HCG to rule out trophoblast persistence
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in what week can intrauterine gravidity normally be diagnosed?
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end of 5th, beginning of 6th week, respectively (ie post menstruationem)
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what are the localisation of intrauterine EUG?
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cervical
or intramural, in IUD carriers |
